MEDICARE: EDITION HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	45D22987827	OTHER		CLIA
3	020034	OTHER	TX	STATE OPERATORS LICENSE

General Provider Information

NPI Number	:	1760802532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDITION HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	101 W RENNER RD STE 420
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-2022
Country	:	US
Telephone Number	:	877-525-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 ALMA DR STE 109
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6949
Country	:	US
Telephone Number	:	214-473-4491
Fax Number	:	972-468-0022

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	MR. DONNIE MABERRY
Credential	:
Telephone Number	:	972-468-8070

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	04/22/2026

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Directions to “EDITION HEALTH SERVICES INC ” Practice Location

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